| Stadium Family Dentistry | |
|
5364 Stadium Pkwy Rockledge FL 32955-6030 | |
| (321) 684-6994 | |
| Not Available |
| Full Name | Stadium Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5364 Stadium Pkwy, Rockledge, Florida |
| Authorized Official Name and Position | Jessica Britt (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stadium Family Dentistry 5364 Stadium Pkwy Rockledge FL 32955-6030 Ph: (321) 684-6994 | Stadium Family Dentistry 5364 Stadium Pkwy Rockledge FL 32955-6030 Ph: (321) 684-6994 |
| NPI Number | 1881105708 |
|---|---|
| Provider Enumeration Date | 10/18/2017 |
| Last Update Date | 10/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881105708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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